Consultation of a phlebologist in Ternopil

Phlebology is a branch of medicine that studies the work of veins in the human body, as well as aims to diagnose, treat and prevent diseases of the venous system. Such pathologies, according to WHO statistics, spoil the lives of 20% of the adult population of the planet, regardless of gender, of which about 5-10% of cases have signs of chronic. Another unpleasant fact is that vascular diseases have significantly rejuvenated in recent years. Therefore, phlebologists are becoming of big demand among Ukrainian patients.

When should you visit a phlebologist?

With the appearance of so-called vascular ‘stars’, heaviness and swelling in the legs, cramps in the lower extremities and marked swelling of the veins, you need to start a timely fight against the probable disease. First of all you should visit a phlebologist.

If there are no complaints about the condition of blood vessels and the mentioned symptoms, you should still visit a doctor for a preventive examination in such cases:

• hereditary predisposition to vascular pathologies;
• ‘standing’ or ‘sitting’ work;
• sedentary lifestyle;
• overweight;
• excessive physical activity;
• taking hormonal medicines;
• pregnancy;
• predisposition to hematomas;
• smoking;
• habit to wear high heels and tight jeans.

All these factors can affect the health of the veins. Vascular pathology of the legs occurs when the muscles that affect the work of the venous valves fail. And this causes circulatory disorders in the lower extremities.

What is the diagnosis and treatment of venous diseases

The visit to a phlebologist starts with a conversation with the patient, clarification of the anamnesis and visual examination. If necessary, functional tests and ultrasound examination of the vessels of the lower extremities may also be ordered. This can be duplex ultrasound, which is the most reliable method of research that allows you to get two-dimensional images of veins and assess the condition of their walls, or Doppler ultrasound, which is to determine the speed of venous circulation and the degree of expansion and deformation of the walls.

A phlebologist can diagnose such diseases:

• varicose veins;
• thrombosis;
• phlebopathy;
• trophic ulcers;
• chronic venous insufficiency;
• venous bleeding;
• atherosclerosis;
• venous eczema;
• vascular aneurysms of the lower extremities;
• lymphedema.

A phlebologist will determine the course and methods of treatment in accordance with the results of examination. These can be conservative, surgical or combined measures to eliminate the disease.

Varicose veins or varicoses of the lower extremities is a chronic pathology that is the most common among vascular diseases. It is characterized by persistent varicose veins of the legs in the form of tortuosity and increase in the diameter of the vein. Visually it is manifested in subcutaneous serpentine venous protrusions and edemas.

It should be emphasized that only taking pills, using ointments or folk remedies does not cure varicose veins. Conservative methods can only temporarily reduce the discomfort of the disease or slow its development. Progressive minimally invasive treatments should be used to treat varicose veins. The main ones are EVLC and sclerotherapy.

Endovenous laser coagulation (EVLC) is a laser occlusion of the inner wall of the affected vessel. The advantages of such minimally invasive surgery are the absence of recurrence of the disease, low trauma, no scarring after the procedure, patient mobility after surgery and rapid rehabilitation (not more than 2-3 days). EVLC procedure takes 15-40 minutes and is performed on an outpatient basis.

This method shows 98% efficiency even when there are venous trophic ulcers caused by varicose veins.

By the way, in the case of trophic ulcers, compression treatment is also used (special compression devices for therapeutic purposes such as bandages and underwear).

One of the least painful and most importantly effective methods in the fight against varicose veins is sclerotherapy. During the procedure, a special medicine (sclerosant) is used. After introduction into the lumen of the affected vein it literally ‘glues’ the walls of the vessel, and the fluid itself is further absorbed. Sclerotherapy is performed under ultrasound control. To achieve the result, several procedures are required to maximize the influence on different sources of vascular damage.

However, sclerotherapy has certain contraindications:

• allergic reactions to anaesthetics and sclerosants;
• pregnancy and lactation;
• heart, liver and kidney diseases;
• obstruction of deep veins;
• diabetes mellitus;
• infections and inflammation of the area of ​​skin to be injected.

With the help of sclerotherapy, you can also treat vascular retina – a dilation of small blood vessels in the skin. Such pathology usually occurs with age, but is not dangerous for the patient's life. This problem is called aesthetic.

Another method of treating varicose veins is miniphlebectomy, or Varadi surgery. The second name of the procedure is due to the main tool used during its operation conducting – Varadi hook. Using it a doctor ‘catches’ the affected areas of the vein and remove them through several almost imperceptible punctures in the skin. The surgery is minimally invasive, outpatient, has a short rehabilitation period. It can also be prescribed in the case of thrombophlebitis, which often develops on the background of varicose veins. Serious thrombotic lesions of the deep veins (thrombosis) are treated with anticoagulant therapy.

Miniphlebectomy has contraindications, including pulmonary insufficiency, pregnancy and lactation, hypertension, skin inflammation, coronary heart disease.

Why to choose a phlebologist from the Viasan Medical Centre?

A visit to the phlebologist of the Viasan Medical Centre in Ternopil is an effective solution to vascular problems. After all, it is here that patients can expect high medical service, innovative diagnostic methods and the most modern treatment standards to treat venous diseases of the lower extremities. Highly professional experienced phlebologists who are constantly improving their professional knowledge and skills work here. On the basis of the medical centre it is possible to perform not only diagnostics, but also minimally invasive surgeries in a one day hospital stay.